Search Results (21,470)

Behavioral parent training (BPT) is a front-line psychosocial treatment for childhood ADHD, yet its real-world effectiveness is often constrained by parents’ ability to consistently implement learned strategies. Parental ADHD is a prevalent and mechanistically important factor shaping both parenting behavior and child treatment response. Among parents with ADHD, deficits in executive functioning and emotion regulation, abilities essential for consistent and effective BPT implementation, often interfere with parents’ ability to apply learned strategies. Consequently, parental ADHD predicts reduced in-home skill use and attenuated child treatment gains, positioning it as a potentially critical, treatment-relevant risk factor. This narrative review synthesizes evidence on the intergenerational transmission of ADHD-related impairments, the impact of parental ADHD on parenting practices, and the role of parental ADHD as a moderator of BPT outcomes. We also examine existing approaches to addressing parental ADHD within the context of child BPT, including both pharmacological and psychosocial strategies, and evaluate their implications for parenting and child response. Building on this, we propose an intergenerational reconceptualization of psychosocial care for childhood ADHD in which parental functioning is routinely assessed and supported within BPT. Promising directions include integrating CBT-informed strategies to scaffold parents’ cognitive and regulatory processes, incorporating digital health tools that provide just-in-time guidance at the point of parenting performance, and tailoring BPT emphasis for families affected by multigenerational ADHD. Ultimately, embedding parent-focused supports within BPT may be essential for strengthening treatment impact, durability, and real-world effectiveness for many children and families. Full article

The rapid institutional and technological transformations of the 2020–2025 period have had a significant impact on teacher professional identity. Drawing on Rosa’s social acceleration thesis and Harvey’s concept of time–space compression, this scoping review examined the dimensions of professional identity emerging in the literature published between 2020 and 2025 among in-service pre-kindergarten through 12th grade (PK-12) teachers, the educational contexts in which these dimensions were addressed, and how they interrelate. Following the PRISMA-ScR guidelines, 45 peer-reviewed articles retrieved from the Scopus and Web of Science databases were analyzed through inductive thematic coding and a dimension–context interaction matrix. Six analytically distinct yet interrelated identity dimensions were identified: Biographical and Personal, Professional and Pedagogical, Emotional and Psychological, Social and Relational, Political and Agentic, and Prospective and Imagined. These dimensions were organized within a dialogical space model distinguishing internal/individual and external/structural domains. The Emotional and Psychological dimension achieved near-universal representation, while the Prospective and Imagined dimension remained the least studied. Six convergence, five divergence, and six gap patterns were identified across seven educational contexts. The findings reveal that, in this period, teacher professional identity is not a fixed attribute carried by the individual but rather a dynamic process continuously negotiated under structural pressures. Full article

Fibromyalgia, a syndrome characterized by hyperalgesia and ‘negative emotionality’, and major depressive disorder (MDD) demonstrate substantial overlaps in clinical, neurobiological, and therapeutic domains. Currently, treatment options for fibromyalgia remain limited; however, the epidemiology of this syndrome continues to grow worldwide. The use of animal models is indispensable for developing new treatment strategies for fibromyalgia. Meanwhile, the choice of animal paradigms is limited. Here, we used the ultrasound exposure of emotional stress on CBA, BALB/c, and C57BL/6 mouse strains to model this condition and to identify new molecular targets of fibromyalgia treatment. We exposed young male mice of three common strains to a three-week ultrasound stress (US) comprising emotionally negative and neutral frequencies of 20–25 kHz and 25–45 kHz, resulting in the development of altered pain sensitivity and signs of ‘negative emotionality’. Specifically, mice were studied for timid-like/aggressive behaviors and the tail flick response. Serum levels of corticosterone, cortisol, β-Endorphin, and brain-derived neurotrophic factor (BDNF), as well as brain gene expression of interleukin-33 (Il-33), Bdnf, and its receptor Trkb were investigated. Among the stressed mouse strains, C57BL/6 mice displayed augmented pain sensitivity, allodynia, and suppressed dominant behavior, whereas CBA and BALB/c mice demonstrated opposing changes. Glucocorticoid levels were increased in all stressed groups. Stressed C57BL/6 mice showed downregulated gene and protein expression of functionally inter-related BDNF and IL-33 molecules in the hippocampus, amygdala, and striatum, significantly correlating with behavioral outcomes, as well as lowered blood levels of β-Endorphin and elevated cortisol concentrations. Altogether, our study identified the BDNF/IL-33 regulatory pathway as a molecular correlate of fibromyalgia, and the use of US-exposed young C57BL/6 mice as a potential model that recapitulates this syndrome. Full article

Background: Research indicates that hepatic gluconeogenesis mediates metabolic coupling between the liver and muscles via the Cori cycle and participates in liver–brain axis communication through its metabolic products and regulatory networks, thereby linking it to the pathogenesis of depression. Together, these mechanisms form the molecular basis for the antidepressant effects of exercise-regulated hepatic gluconeogenesis. Regular exercise promotes skeletal muscle contraction, causing the muscles to release more lactate into the circulatory system. Lactate acts as a substrate for gluconeogenesis and activates downstream signaling pathways, thereby enhancing the gluconeogenic response. During exercise, glycogenolysis directly provides energy, while lactate produced by glycolysis enters the liver via the Cori cycle to serve as a substrate for gluconeogenesis. By maintaining blood glucose homeostasis, this process ensures a stable energy supply to the brain, thereby improving cognitive and emotional functions. This study aims to elucidate how key substrates, regulatory factors, and rate-limiting enzymes involved in hepatic gluconeogenesis and exercise influence brain energy supply, cognitive function, and emotional regulation during depression. It seeks to identify the potential targets and mechanisms through which exercise exerts its antidepressant effects via hepatic gluconeogenesis, with the goal of providing a theoretical foundation for research into the mechanisms of depression and for clinical exercise interventions. Methods: This review conducted a comprehensive search of the recent literature on exercise, hepatic gluconeogenesis, and depression in major domestic and international databases. Adopting an interdisciplinary approach that integrates hepatic gluconeogenesis and exercise, it synthesizes existing evidence to explore the metabolic mechanisms by which exercise improves depression through the regulation of hepatic gluconeogenesis pathways. Results: Research has found that exercise may modulate hepatic gluconeogenic substrates and regulate the expression of cAMP-responsive element-binding protein in states of depression, regulatory factors such as liver kinase B1, forkhead box protein 01, hepatocyte nuclear factor 4 alpha, and peroxisome proliferator activated receptor gamma co activator factor 1 alpha are used to affect key rate limiting enzymes of hepatic gluconeogenesis, such as phosphoenolpyruvate carboxykinase and glucose-6-phosphatase, enhance hepatic gluconeogenesis processes, maintain blood glucose homeostasis, ensure brain energy supply, and improve depression. Conclusions: Exercise intervention targeting hepatic gluconeogenesis may be a potential therapeutic strategy for depression. Full article

Facial expression recognition (FER) is crucial for endowing service robots with emotional perception capabilities. Achieving high-performance facial expression recognition hinges on effectively balancing the capture of subtle local textures with the understanding of overall facial configurations. However, coordinating local feature variations with global semantic dependencies in unconstrained environments while maintaining semantic alignment remains a challenge. To address this issue, we propose FER-SDAM, a network architecture based on hierarchical attention collaboration. Through a dual-attention hierarchical collaboration mechanism, this architecture introduces an Attention Consistency Loss (ACL) to explicitly align shallow structural awareness with deep global dependencies. It simultaneously captures structural sensitivity and cross-regional correlations, facilitating the effective fusion of local structural information with global semantics, thereby balancing accuracy, robustness, and computational efficiency. We conducted extensive experiments on AffectNet, RAF-DB, and their subsets containing occlusion and pose variations, achieving accuracy rates of 68.12%, 66.68%, and 88.87% on the AffectNet-7, AffectNet-8, and RAF-DB datasets, respectively. The experimental results demonstrate that FER-SDAM achieves a critical balance between accuracy and efficiency, delivering highly competitive recognition performance while maintaining low computational overhead, making it an ideal solution for real-time deployment in service robots. Full article

This research focuses on creating a real-time facial emotion recognition system for smart glasses designed for visually impaired users. By adapting a contextually adaptive attention mechanism (CBAM) in a lightweight classification header with a pre-trained deep learning model, we obtain a model capable of successfully predicting emotions from facial features. The model will be complemented by a comprehensive preprocessing pipeline that includes face detection and alignment, standard normalization, and data augmentation for underrepresented classes. The model was trained on a merged benchmark dataset (FER24, RAF-DB, CK+) and evaluated across basic emotion classes: surprise, happiness, disgust, fear, sadness, neutral, and anger. Two models were compared: FaceNet–CBAM and EmoFormer–CBAM (a ViT-Base model enhanced with a 1D-CBAM attention module). EmoFormer–CBAM achieved 98% and ~72% test accuracy on new dataset (CleanFER25_RAF_CK) and AffectNet, respectively. In addition, a small set of external real-world images is used as a pilot qualitative evaluation to assess robustness under unconstrained conditions. A detailed analytical study of both models was performed to determine the impact of their structural components on overall performance using the available data. Based on the results, the most successful model under all conditions, EmoFormer–CBAM, was selected as the prototype for the smart glasses for the visually impaired. The necessary mechanisms for future deployment and implementation of the smart glasses prototype for the target users were also studied, in accordance with the ethical approvals previously obtained from Gazi University in Türkiye. Full article

Background: the pathophysiological mechanisms underlying spontaneous coronary artery dissection (SCAD) remain incompletely understood. Inflammation may play a pivotal role by promoting vascular susceptibility to SCAD. This study aimed to evaluate pericoronary adipose tissue (PCAT) attenuation, a recognized imaging marker of vascular inflammation, in patients with SCAD. Methods: patients with SCAD who underwent coronary computed tomography angiography (CCTA) within 48 h of the index event and with an identifiable trigger were included. Patients were classified according to the trigger preceding the event (emotional vs. physical). PCAT attenuation was measured in culprit and non-culprit vessels in all patients. Results: A total of 25 SCAD patients were included (mean age 55 ± 11 years, 80.0% female). Emotional triggers were reported in 17 patients (68.0%), while 8 (32.0%) experienced a physical trigger. Type 2 dissections were more common in the emotional trigger group (64.7% vs. 25.0%, p = 0.040). Patients with emotional triggers exhibited higher PCAT attenuation compared with those with physical triggers in the SCAD-related vessel (−62.35 ± 6.46 HU vs. −70.86 ± 8.45 HU; p = 0.028) and in non-culprit vessels (−61.39 ± 7.24 HU vs. −71.16 ± 5.28 HU; p = 0.001). Conclusions: patients with SCAD demonstrated elevated PCAT attenuation, particularly in those with emotional triggers, in both culprit and non-culprit vessels. These findings suggest that vascular inflammation may represent a predisposing factor for SCAD and a target for preventive and therapeutic strategies. Full article

Background: Recovery following total joint arthroplasty varies substantially among patients, and psychological factors may partly account for this variability. Although anxiety and depression have been widely investigated, the specific contribution of preoperative surgical fear to postoperative pain and quality of recovery remains unclear. This study aimed to examine the association between preoperative surgical fear and postoperative pain intensity and quality of recovery. Methods: This prospective, hospital-based observational study enrolled 89 patients undergoing primary total knee or hip arthroplasty. Preoperative surgical fear was measured using the Surgical Fear Questionnaire (SFQ). Pain intensity was assessed with the Numeric Rating Scale (NRS) preoperatively and at three postoperative time points. Recovery quality at 24 h was evaluated using the Quality of Recovery-40 (QoR-40). Pearson correlation and multiple linear regression analyses were performed to evaluate associations and identify variables independently associated with recovery outcomes, controlling for potential confounders, including age, sex, ASA physical status, and type of surgery. Results: The mean SFQ score was 26.62 ± 15.19, and the mean QoR-40 score was 157.63 ± 16.66. Surgical fear was moderately and negatively correlated with overall recovery quality (r = −0.546, p < 0.001). In multiple linear regression analysis, surgical fear was most strongly associated with poorer overall recovery quality (β = −0.563, p < 0.001), within a model explaining 30.3% of the variance (adjusted R² = 0.303). At the subscale level, surgical fear was significantly associated with emotional state, pain, physical comfort, and perceived support. Pain intensity at 12 h postoperatively was significantly associated with reduced physical independence (β = −0.218, p = 0.038). Pain intensity peaked at 12 h postoperatively (p < 0.001). Conclusions: Higher levels of preoperative surgical fear are associated with poorer quality of recovery following total joint arthroplasty. These findings highlight surgical fear as a potentially relevant perioperative factor and support the integration of routine psychological assessment into perioperative care pathways in relation to early postoperative recovery outcomes. From a clinical perspective, early identification of patients with high surgical fear may facilitate targeted perioperative counseling and supportive interventions by healthcare professionals, potentially improving recovery outcomes. Full article

Background: In an era characterized by rapid technological disruption and vocational uncertainty, Career Adaptability (CA) has emerged as a critical meta-competency for university students transitioning into the workforce. While the importance of CA is well-documented, the internal mechanisms that foster it remain under-explored. This research adopts a resource-based perspective to investigate how Mindfulness—a state of non-judgmental present-moment awareness—acts as a catalyst for career readiness. Specifically, this study examines a dual-mediation model, proposing that Mindfulness enhances Emotional Intelligence (EI) and Psychological Capital (PsyCap) (comprising hope, efficacy, resilience, and optimism), which in turn bolsters an individual’s capacity to adapt to changing career landscapes. By integrating these four constructs, the study provides a comprehensive framework for understanding how “being present” (Mindfulness) translates into “being prepared” (Career Adaptability) through the cultivation of emotional and psychological resources. Methods: The study collected data from 705 final-year students at Wollo University (male = 399 and female = 306). The study employed several well-established instruments: the Compound Psychological Capital Scale (CPC), the Five Facet Mindfulness Questionnaire (FFMQ), the Wong and Law Emotional Intelligence Scale (WLIES), and the Career Adapt-Abilities Scale (CAAS). These instruments were rigorously evaluated for their psychometric applicability within the Ethiopian context. Results: PLS-SEM analysis revealed: (a) direct and positive influences of mindfulness, PsyCap, and EI on career adaptability; (b) partial and positive mediation effects of PsyCap and EI in the mindfulness-career adaptability link; (c) a serial mediation effect of mindfulness through PsyCap and EI; and (d) the proposed model explained a substantial amount of variance in university students’ career adaptability. Conclusions: Despite its strengths, the study acknowledged certain limitations and discussed potential implications for enhancing career adaptability, highlighting the benefits of cultivating mindfulness. Full article

Stock market investors and traders operate in high-pressure environments marked by volatility, uncertainty, financial risk, and intense performance demands. These conditions lead to substantial psychological distress, increasing vulnerability to psychiatric disorders and suicidal behavior. Key psychological risk factors in this population include acute financial loss, chronic stress, impulsivity, perfectionism, and identity fusion with professional performance. Evidence from behavioral psychology and clinical psychiatry indicates elevated rates of mood disorders, anxiety, and burnout in trading environments. Resilience—including emotional regulation, effective stress-coping mechanisms, strong social support, and cognitive flexibility—emerges as a critical protective factor that mitigates suicide risk and promotes adaptive functioning. Strengthening psychological resilience and implementing evidence-based mental-health strategies may help reduce suicide risk and support overall well-being. The medico-legal dimensions of this issue encompass duty of care within high-stress financial workplaces, clinical obligations related to suicide risk assessment and documentation, confidentiality and safety considerations, and questions of foreseeability of suicide in cases involving severe or catastrophic financial loss. Despite growing awareness of mental health challenges in financial professions, the intersection of suicide risk, resilience, and medico-legal responsibilities in this population remains underexplored. Further research is needed to refine assessment frameworks and develop targeted suicide prevention interventions for this at-risk group. Full article

Sensory alterations affect 90% of individuals with autism and have been recognized in the DSM-5 as a diagnostic criterion. These alterations often exacerbate emotional stress and may increase levels of anxiety, impacting everyday life activities. The general objective of this work is to assess the changes before and after a multisensory stimulation program aimed at improving sensory processing, repetitive behaviors, and adaptation to the environment in a sample of students with ASD. Twenty-seven schoolchildren participated (M = 10.04, SD = 4.24), with different levels of impairment, diagnosed by specialized teams. The design included a pretest and post-test condition. The results highlight significant improvements in the assessed areas. The Sensory Profile-2, the Bodfish Repetitive Behavior Scale, and the Vineland Scale were administered. The results suggest that changes may be conditioned by the student profile. The profiles that benefited the most in terms of sensory profile and repetitive behaviors were students with levels 1 and 3; meanwhile, students with level 2 did not show improvements in these areas but did show gains in overall adaptation, as measured by the Vineland Scale. Full article

Current biometric tools, with facial expression analysis capabilities, enable us to more deeply examine affective correlates of exposure to architectural forms, especially when combined with eye-tracking and preference data. This study builds on earlier preference studies comparing seven pairs of traditional vs. modern civic buildings from the National Civic Art Society and an eye-tracking study with the same images from the Human Architecture and Planning Institute. It explores how metrics for engagement and positive emotional experience are correlated with exposure to traditional and modern forms. In agreement with other eye-tracking studies, as well as with the broader literature, the results indicate that traditional stimuli elicit positive affective responses, while modern stimuli result in negative responses across participants. Full article

Mystical experiences are characterized by a profound sense of interconnectedness and transcendence of ordinary reality. These experiences can facilitate feelings of connectedness with oneself and others and have been documented as leading to significant positive changes in thoughts, emotions, and behavior. The purpose of the present study was to evaluate the extent to which the four mindfulness facets of psychological flexibility (i.e., experiential acceptance, present-moment awareness, cognitive defusion, and self-as-context) were associated with self-reported mystical experiences while controlling for established covariates. Using a sample of 150 individuals recruited online, a regularized regression with an elastic net—a computationally efficient machine learning algorithm—was used to model the relationships among mystical experiences, State of Surrender, frequency of psychedelic use, near-death experiences, and facets of psychological flexibility. State of Surrender, experiential acceptance, cognitive defusion, and present-moment awareness emerged as the most robust predictors of mystical experiences. Collectively, these findings underscore the role of psychological processes, including surrender-related processes and facets of psychological flexibility, in predicting mystical experiences. Full article

Existential, spiritual, and religious themes often evoke strong emotions in therapy, yet little is known about how clients’ emotion regulation relates to these aspects. Spiritual psychotherapy for inpatient residential and intensive treatment (SPIRIT) integrates meaning in life within a cognitive-behavioral treatment (CBT) framework in acute and intensive mental health care and provides an appropriate context for examining this. This qualitative study explores: (1) clients’ beliefs about expressing, managing, or suppressing emotions related to meaning in life, spirituality, or religion (MSR); (2) how emotion regulation strategies (e.g., reappraisal, acceptance, and distress tolerance) are influenced by addressing MSR in therapy; and (3) whether engaging with MSR activates emotion regulation mechanisms for clients’ experienced distress. We analyzed 118 client evaluation forms and 19 semi-structured client interviews using a thematic approach informed by emotion regulation theory. SPIRIT-CBT made implicit beliefs about (MSR-related) emotion regulation explicit, and group interactions sometimes led to changes. Clients showed various regulation strategies, for example: MSR-based reappraisal, connectedness, reflection, and positive refocusing. However, emotional tension and suppression were also reported. Particularly from the interviews, it emerged that the therapy facilitated regulation mechanisms, including narrative processing, perspective shifting, sense-making, and social belonging. Focusing on MSR and existential themes addresses an important gap in mental health care and may contribute to supporting clients’ emotional recovery and overall well-being. Full article

Objective: Systemic lupus erythematosus (SLE) is a complex autoimmune disease, and its diagnosis can cause considerable anxiety and uncertainty for those affected. This study aimed to investigate the effect of a one-day educational seminar on disease-specific knowledge among patients with SLE. Additionally, the influence on subjective needs, the cognitive and emotional impact of the disease, and health-related lifestyle were examined. Methods: Patients were randomly assigned in a 1:1 ratio to an intervention group or a waiting list control group. Both groups attended the seminar. Disease-specific knowledge was measured using a multiple-choice questionnaire. The primary objective was the change in knowledge after the intervention. Results: Thirty-nine participants were included in the analysis. The mean score difference between the waiting list control group and the intervention group was 3.4 points out of a maximum of 20 (95% CI 1.8 to 5) immediately after the seminar and 1.6 (95% CI −0.6 to 3.5) three months later. Pooled data from both groups showed an increase in SLE-specific knowledge from 13.7 points to 17.3 points. Three months later, SLE-specific knowledge remained above the initial value at 15.4 points. However, no influence on lifestyle was observed. Conclusion: A one-day seminar can increase disease-specific knowledge and reduce unmet informational needs but does not lead to lifestyle modifications. Full article